Krankenhagen B, Cohnen G
Dtsch Med Wochenschr. 1975 Nov 7;100(45):2328-30, 2335-7. doi: 10.1055/s-0028-1106544.
CNS involvement is a rare manifestation of collagen disease. But in three patients with lupus erythematosus (L.E.) the disease was from its onset characterized by CNS signs: epileptic seizures, cerebellar ataxia, and organic psychosis. The combination of epilepsy or organic psychosis with inflammatory joint disease should make one consider L.E. in the differential diagnosis, even if there is no close time relationship between the occurrence of these signs. Muscle biopsy, EEG recordings and CSF examinations may be of diagnostic value in addition to serological and immunological studies.
中枢神经系统受累是胶原病的一种罕见表现。但在3例红斑狼疮(L.E.)患者中,该病从起病就以中枢神经系统症状为特征:癫痫发作、小脑共济失调和器质性精神病。癫痫或器质性精神病与炎性关节病同时出现,即使这些症状的出现没有密切的时间关系,在鉴别诊断时也应考虑红斑狼疮。除血清学和免疫学研究外,肌肉活检、脑电图记录和脑脊液检查可能具有诊断价值。